Individual
EBONI R. MORMANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 SUN VALLEY DR STE D2, ROSWELL, GA 30076-5636
(770) 910-9162
(770) 910-9768
Mailing address
500 SUN VALLEY DR STE D2, ROSWELL, GA 30076-5636
(770) 910-9162
(770) 910-9768
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006759
GA
101YP2500X
Professional Counselor
6401016779
MI
101YP2500X
Professional Counselor
PC-0011103
DE
Other
Enumeration date
02/07/2013
Last updated
05/06/2022
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